Tag Archives: cms rac

“Finally Friday!” CMS Report on FY2014 RAC Program

FRIDAY October 23, 2015: “CMS Report to Congress on FY2014 RAC Program Activity“ Mysteries and Inconsistencies Get the Handouts CMS recently published their report they are required by law to submit to Congress on their nationwide Medicare RAC program and … Continue reading

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The 7 Habits of Highly Effective RACs

Or What the RACs Borrowed from The Walking Dead The 7 Habits of Highly Effective People? [Pfft.] That’s so 80s. There’s another, more timely source you could learn a whole lot more from. Zombies. Not pretty… but hey, based upon … Continue reading

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CMS Reveals One Surprise at the OMHA Appellant Forum

Some Appeals Receive Some Protection Post-payment denials for anything other than “lack of documentation” are protected from reviews for additional or new reasons for denial, effective August 1, according to Michael Crochunis, Deputy Director for the Medicare Enrollment and Appeals … Continue reading

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Senate Finance Committee Approves AFIRM RAC Reform Bill, Slams CMS

Audit & Appeal Fairness, Integrity, and Reforms in Medicare (AFIRM) Act of 2015 Passes Finance Committee with Only One Dissent Committee Chariman Senator Orrin Hatch (R-UT) asked if anyone wanted a role-call vote recorded on the approved language for the … Continue reading

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Senate Aging Committee Tackles Hospital ‘Observation Status’ Crisis

Senators Question CMS Actions and Logic, Call for Simplicity The U.S. Senate Committee on Aging held a hearing with two panels on Wednesday, May 20, considering the causes and possible solutions to the increased use of Observation services in hospitals, … Continue reading

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H.R. 2156 Introduced, Seeks RAC Reform in Fees and Fines

Another Bipartisan Bill? Two Congressmen introduced the Medicare Audit Improvement Act of 2015 (H.R. 2156) calling for significant and fundamental changes to Medicare’s national Recovery Audit Contractor (RAC) program on April 30, 2015. Representatives Sam Graves (R-MO) and Adam Schiff … Continue reading

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Infographic by AHA seeks RAC reforms

Check out other American Hospital Association infographics To post this on your own website, visit this page.

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U.S. Senate Committee blames providers for appeals backlog

Forget the denials, reduce the appeals The U.S. Senate Finance Committee heard testimony and expressed dismay yesterday about the humongous backlog of appeals at the Office of Medicare Hearings and Appeals (OMHA), now totaling over 870,000 appeals, according to testimony … Continue reading

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CMS RAC Declares Faith in Continuation of the Program, Expects No Changes

Extensions to Continue, New Contracts Soon, Election Results Will Have No Effect CMS publically expressed faith in the RAC programs, wants to continue the current contract extensions, and will likely award new contracts by late summer 2015, according to at … Continue reading

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CMS RAC Auditor Halloween Mask!

CMS RAC Auditor Halloween Mask (with Instructions… better than those provided by CMS groups of late…) For Halloween, try making this CMS RAC Auditor Mask. Below are the Instructions to make the mask.         Here are some … Continue reading

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